Federal inspection record · CMS data as of October 1, 2026

Bradley Estates Nursing and Rehab LLC

6735 W Bradley Rd, Milwaukee, WI · (414) 354-3300

  • Cited for abuse (CMS abuse icon)
  • Special Focus Facility

CMS overall rating

1 of 5

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Certified beds
198
Residents per day
131
Ownership
For-Profit
Chain
Shlomo Hoffman
Medicare / Medicaid
Medicare + Medicaid
Certified since
January 1, 1983

1

How this home got 1 star

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Wisconsin.

  2. Staffing

    no change

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    1 of 5

    Matches the rating CMS publishes on Care Compare.

This home carries CMS's abuse icon, which caps its inspection rating at 2 stars and so its overall rating at 4.

2

Where it sits among Wisconsin homes

Bradley Estates Nursing and Rehab LLC carries 576 inspection points. That is fewer than 0% of Wisconsin's 321 rated homes.

5★4★3★2★1★+1 homes above 604.805102550100200400inspection points → fewer is better on the leftThis home · 576 pts · 1★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Wisconsin: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–11 pts
  • 4★ 11–37 pts
  • 3★ 37–76 pts
  • 2★ 76–130.75 pts
  • 1★ over 130.75 pts

Bars show every rated home in Wisconsin by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

156 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 2 50 pts
K 1 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 11 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 96 4 pts
E 37 8 pts
F 9 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

Harm and immediate-jeopardy citations (14)

  1. K

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    February 6, 2025 · Complaint inspection · Quality of Life and Care · F689 · Corrected February 7, 2025

  2. G

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    January 7, 2025 · Complaint inspection · Quality of Life and Care · F690 · Corrected February 4, 2025

  3. G

    Ensure that residents are free from significant medication errors.

    September 19, 2024 · Complaint inspection · Pharmacy Service · F760 · Corrected December 5, 2024

  4. J

    Provide medically-related social services to help each resident achieve the highest possible quality of life.

    July 1, 2024 · Complaint inspection · Quality of Life and Care · F745 · Corrected July 17, 2024

  5. G

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    July 1, 2024 · Standard inspection · Quality of Life and Care · F686 · Corrected December 5, 2024

  6. G

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    March 7, 2024 · Complaint inspection · Quality of Life and Care · F684 · Corrected April 5, 2024

  7. G

    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

    March 7, 2024 · Complaint inspection · Quality of Life and Care · F688 · Corrected April 5, 2024

  8. G

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    March 7, 2024 · Complaint inspection · Quality of Life and Care · F689 · Corrected April 5, 2024

  9. G

    Ensure that residents are free from significant medication errors.

    March 7, 2024 · Complaint inspection · Pharmacy Service · F760 · Corrected April 5, 2024

  10. J

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    January 17, 2024 · Complaint inspection · Quality of Life and Care · F689 · Corrected April 5, 2024

  11. G

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    January 17, 2024 · Complaint inspection · Quality of Life and Care · F684 · Corrected April 5, 2024

  12. G

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    January 17, 2024 · Complaint inspection · Quality of Life and Care · F686 · Corrected April 5, 2024

  13. G

    Provide safe, appropriate pain management for a resident who requires such services.

    January 17, 2024 · Complaint inspection · Quality of Life and Care · F697 · Corrected February 9, 2024

  14. G

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    April 26, 2023 · Standard inspection · Quality of Life and Care · F689 · Corrected May 19, 2023

Everything else, by area of care

Resident Rights35F
  1. E

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    December 30, 2025 · Complaint · F584 · Corrected January 28, 2026

  2. D

    Honor the resident's right to organize and participate in resident/family groups in the facility.

    December 30, 2025 · Complaint · F565 · Corrected January 28, 2026

  3. D

    Give the resident's representative the ability to exercise the resident's rights.

    September 17, 2025 · Standard · F551 · Corrected October 16, 2025

  4. D

    Ensure that residents are fully informed and understand their health status, care and treatments.

    September 17, 2025 · Standard · F552 · Corrected October 16, 2025

  5. D

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    September 17, 2025 · Standard · F582 · Corrected October 16, 2025

  6. D

    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

    September 17, 2025 · Standard · F585 · Corrected October 16, 2025

  7. E

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    July 11, 2025 · Complaint · F584 · Corrected August 8, 2025

  8. E

    Honor the resident's right to organize and participate in resident/family groups in the facility.

    June 10, 2025 · Complaint · F565 · Corrected July 4, 2025

  9. D

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    April 1, 2025 · Complaint · F580 · Corrected April 10, 2025

  10. D

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    February 6, 2025 · Complaint · F580 · Corrected February 7, 2025

  11. D

    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

    February 6, 2025 · Complaint · F625 · Corrected February 7, 2025

  12. D

    Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

    February 6, 2025 · Complaint · F626 · Corrected February 7, 2025

  13. D

    Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

    October 28, 2024 · Complaint · F622 · Corrected October 29, 2024

  14. D

    Allow resident to participate in the development and implementation of his or her person-centered plan of care.

    September 19, 2024 · Complaint · F553 · Corrected October 14, 2024

  15. D

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    September 19, 2024 · Complaint · F580 · Corrected October 14, 2024

  16. D

    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

    September 19, 2024 · Complaint · F585 · Corrected October 17, 2024

  17. E

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    July 1, 2024 · Complaint · F623 · Corrected July 17, 2024

  18. E

    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

    July 1, 2024 · Complaint · F625 · Corrected July 17, 2024

  19. D

    Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

    July 1, 2024 · Complaint · F622 · Corrected July 17, 2024

  20. D

    Ensure that residents are fully informed and understand their health status, care and treatments.

    March 7, 2024 · Complaint · F552 · Corrected April 5, 2024

  21. D

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    March 7, 2024 · Complaint · F580 · Corrected April 5, 2024

  22. D

    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

    March 7, 2024 · Complaint · F585 · Corrected April 5, 2024

  23. E

    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

    January 17, 2024 · Complaint · F585 · Corrected April 5, 2024

  24. F

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    November 1, 2023 · Complaint · F584 · Corrected December 1, 2023

  25. E

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    November 1, 2023 · Complaint · F550 · Corrected December 1, 2023

  26. E

    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

    November 1, 2023 · Complaint · F585 · Corrected December 1, 2023

  27. D

    Give the resident's representative the ability to exercise the resident's rights.

    November 1, 2023 · Complaint · F551 · Corrected December 1, 2023

  28. D

    Allow residents to self-administer drugs if determined clinically appropriate.

    November 1, 2023 · Complaint · F554 · Corrected December 1, 2023

  29. D

    Reasonably accommodate the needs and preferences of each resident.

    November 1, 2023 · Complaint · F558 · Corrected December 1, 2023

  30. D

    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

    November 1, 2023 · Complaint · F625 · Corrected December 1, 2023

  31. E

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    April 26, 2023 · Standard · F623 · Corrected May 19, 2023

  32. E

    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

    April 26, 2023 · Standard · F625 · Corrected May 19, 2023

  33. D

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    April 26, 2023 · Standard · F550 · Corrected May 19, 2023

  34. D

    Allow resident to participate in the development and implementation of his or her person-centered plan of care.

    April 26, 2023 · Standard · F553 · Corrected May 19, 2023

  35. D

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

    April 26, 2023 · Standard · F578 · Corrected May 19, 2023

Quality of Life and Care29E
  1. D

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    September 17, 2025 · Standard · F677 · Corrected October 16, 2025

  2. D

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    September 17, 2025 · Standard · F686 · Corrected October 16, 2025

  3. D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    September 17, 2025 · Standard · F689 · Corrected October 16, 2025

  4. D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    July 11, 2025 · Complaint · F689 · Corrected August 8, 2025

  5. D

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    April 1, 2025 · Complaint · F677 · Corrected April 10, 2025

  6. D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    January 7, 2025 · Complaint · F689 · Corrected February 7, 2025

  7. D

    Assist a resident in gaining access to vision and hearing services.

    October 28, 2024 · Complaint · F685 · Corrected October 31, 2024

  8. D

    Provide enough food/fluids to maintain a resident's health.

    September 19, 2024 · Complaint · F692 · Corrected October 16, 2024

  9. D

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    July 1, 2024 · Standard · F677 · Corrected July 17, 2024

  10. D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    July 1, 2024 · Complaint · F684 · Corrected July 17, 2024

  11. D

    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

    July 1, 2024 · Standard · F700 · Corrected July 17, 2024

  12. D

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    March 7, 2024 · Complaint · F677 · Corrected April 5, 2024

  13. D

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    March 7, 2024 · Complaint · F686 · Corrected April 5, 2024

  14. D

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    March 7, 2024 · Complaint · F690 · Corrected April 5, 2024

  15. D

    Provide enough food/fluids to maintain a resident's health.

    March 7, 2024 · Complaint · F692 · Corrected April 5, 2024

  16. D

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    March 7, 2024 · Complaint · F698 · Corrected April 5, 2024

  17. D

    Provide medically-related social services to help each resident achieve the highest possible quality of life.

    March 7, 2024 · Complaint · F745 · Corrected April 5, 2024

  18. D

    Provide or get specialized rehabilitative services as required for a resident.

    March 7, 2024 · Complaint · F825 · Corrected April 5, 2024

  19. D

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    January 17, 2024 · Complaint · F677 · Corrected April 5, 2024

  20. E

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    November 1, 2023 · Complaint · F684 · Corrected December 1, 2023

  21. E

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    November 1, 2023 · Complaint · F689 · Corrected December 1, 2023

  22. E

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    November 1, 2023 · Complaint · F690 · Corrected December 1, 2023

  23. D

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    November 1, 2023 · Complaint · F677 · Corrected December 1, 2023

  24. D

    Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.

    November 1, 2023 · Complaint · F691 · Corrected December 1, 2023

  25. E

    Provide enough food/fluids to maintain a resident's health.

    April 26, 2023 · Standard · F692 · Corrected May 19, 2023

  26. D

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    April 26, 2023 · Standard · F677 · Corrected May 19, 2023

  27. D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    April 26, 2023 · Standard · F684 · Corrected May 19, 2023

  28. D

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    April 26, 2023 · Standard · F686 · Corrected May 19, 2023

  29. D

    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

    April 26, 2023 · Standard · F688 · Corrected May 19, 2023

Freedom from Abuse, Neglect, and Exploitation23E
  1. D

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    July 9, 2026 · Complaint · F600 · Corrected July 30, 2026

  2. D

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    December 30, 2025 · Complaint · F600 · Corrected January 28, 2026

  3. D

    Respond appropriately to all alleged violations.

    December 30, 2025 · Complaint · F610 · Corrected January 28, 2026

  4. E

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

    September 17, 2025 · Standard · F605 · Corrected October 16, 2025

  5. D

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    August 20, 2025 · Complaint · F600 · Corrected September 14, 2025

  6. D

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    August 20, 2025 · Complaint · F609 · Corrected September 14, 2025

  7. D

    Respond appropriately to all alleged violations.

    August 20, 2025 · Complaint · F610 · Corrected September 14, 2025

  8. D

    Respond appropriately to all alleged violations.

    July 11, 2025 · Complaint · F610 · Corrected August 8, 2025

  9. E

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    January 7, 2025 · Complaint · F607 · Corrected January 21, 2025

  10. D

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    January 7, 2025 · Complaint · F600 · Corrected January 21, 2025

  11. D

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    September 19, 2024 · Complaint · F609 · Corrected October 14, 2024

  12. D

    Respond appropriately to all alleged violations.

    September 19, 2024 · Complaint · F610 · Corrected October 14, 2024

  13. E

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    July 1, 2024 · Complaint · F607 · Corrected July 17, 2024

  14. E

    Respond appropriately to all alleged violations.

    July 1, 2024 · Standard · F610 · Corrected July 17, 2024

  15. D

    Protect each resident from the wrongful use of the resident's belongings or money.

    July 1, 2024 · Complaint · F602 · Corrected July 17, 2024

  16. D

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    July 1, 2024 · Complaint · F609 · Corrected July 17, 2024

  17. E

    Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

    January 17, 2024 · Complaint · F943 · Corrected February 9, 2024

  18. D

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    January 17, 2024 · Complaint · F609 · Corrected February 9, 2024

  19. D

    Respond appropriately to all alleged violations.

    January 17, 2024 · Complaint · F610 · Corrected February 9, 2024

  20. D

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    November 1, 2023 · Complaint · F607 · Corrected December 1, 2023

  21. D

    Respond appropriately to all alleged violations.

    November 1, 2023 · Complaint · F610 · Corrected December 1, 2023

  22. D

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    April 26, 2023 · Standard · F607 · Corrected May 19, 2023

  23. D

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    April 26, 2023 · Standard · F609 · Corrected May 19, 2023

Pharmacy Service15E
  1. E

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    September 17, 2025 · Standard · F761 · Corrected October 16, 2025

  2. D

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    September 17, 2025 · Standard · F757 · Corrected October 16, 2025

  3. D

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    June 10, 2025 · Complaint · F755 · Corrected July 4, 2025

  4. D

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    June 10, 2025 · Complaint · F761 · Corrected July 4, 2025

  5. E

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    April 1, 2025 · Complaint · F755 · Corrected April 10, 2025

  6. E

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    April 1, 2025 · Complaint · F761 · Corrected April 10, 2025

  7. D

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

    September 19, 2024 · Complaint · F758 · Corrected October 14, 2024

  8. D

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    July 1, 2024 · Standard · F757 · Corrected July 17, 2024

  9. D

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    March 7, 2024 · Complaint · F757 · Corrected April 5, 2024

  10. D

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

    March 7, 2024 · Complaint · F758 · Corrected April 5, 2024

  11. E

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    November 1, 2023 · Complaint · F755 · Corrected December 1, 2023

  12. D

    Ensure medication error rates are not 5 percent or greater.

    November 1, 2023 · Complaint · F759 · Corrected December 1, 2023

  13. E

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    April 26, 2023 · Standard · F761 · Corrected May 19, 2023

  14. D

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    April 26, 2023 · Standard · F755 · Corrected May 19, 2023

  15. D

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

    April 26, 2023 · Standard · F758 · Corrected May 19, 2023

Resident Assessment and Care Planning13E
  1. E

    Ensure each resident receives an accurate assessment.

    September 17, 2025 · Standard · F641 · Corrected October 16, 2025

  2. D

    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

    September 17, 2025 · Standard · F640 · Corrected October 16, 2025

  3. D

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    September 17, 2025 · Standard · F644 · Corrected October 16, 2025

  4. D

    PASARR screening for Mental disorders or Intellectual Disabilities

    September 17, 2025 · Standard · F645 · Corrected October 16, 2025

  5. D

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    September 19, 2024 · Complaint · F657 · Corrected December 5, 2024

  6. E

    PASARR screening for Mental disorders or Intellectual Disabilities

    July 1, 2024 · Standard · F645 · Corrected July 17, 2024

  7. E

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    July 1, 2024 · Complaint · F657 · Corrected July 17, 2024

  8. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    July 1, 2024 · Standard · F656 · Corrected July 17, 2024

  9. D

    Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

    March 7, 2024 · Complaint · F661 · Corrected April 5, 2024

  10. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    November 1, 2023 · Complaint · F656 · Corrected December 1, 2023

  11. D

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    November 1, 2023 · Complaint · F657 · Corrected December 1, 2023

  12. E

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    April 26, 2023 · Standard · F656 · Corrected May 19, 2023

  13. D

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    April 26, 2023 · Standard · F842 · Corrected May 19, 2023

Infection Control10F
  1. E

    Provide and implement an infection prevention and control program.

    September 17, 2025 · Standard · F880 · Corrected October 16, 2025

  2. D

    Provide and implement an infection prevention and control program.

    June 10, 2025 · Complaint · F880 · Corrected July 4, 2025

  3. D

    Provide and implement an infection prevention and control program.

    April 1, 2025 · Complaint · F880 · Corrected April 10, 2025

  4. D

    Provide and implement an infection prevention and control program.

    October 28, 2024 · Complaint · F880 · Corrected November 19, 2024

  5. F

    Provide and implement an infection prevention and control program.

    July 1, 2024 · Standard · F880 · Corrected July 17, 2024

  6. F

    Provide and implement an infection prevention and control program.

    March 7, 2024 · Complaint · F880 · Corrected April 5, 2024

  7. D

    Implement a program that monitors antibiotic use.

    March 7, 2024 · Complaint · F881 · Corrected April 5, 2024

  8. E

    Provide and implement an infection prevention and control program.

    November 1, 2023 · Complaint · F880 · Corrected December 1, 2023

  9. E

    Provide and implement an infection prevention and control program.

    April 26, 2023 · Standard · F880 · Corrected May 19, 2023

  10. D

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    April 26, 2023 · Standard · F883 · Corrected May 19, 2023

Nutrition and Dietary8F
  1. F

    Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

    April 1, 2025 · Complaint · F801 · Corrected April 10, 2025

  2. E

    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

    April 1, 2025 · Complaint · F803 · Corrected April 10, 2025

  3. E

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    April 1, 2025 · Complaint · F812 · Corrected April 10, 2025

  4. F

    Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

    November 1, 2023 · Complaint · F809 · Corrected December 1, 2023

  5. E

    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

    November 1, 2023 · Complaint · F803 · Corrected December 1, 2023

  6. E

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    November 1, 2023 · Complaint · F804 · Corrected December 1, 2023

  7. E

    Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.

    November 1, 2023 · Complaint · F807 · Corrected December 1, 2023

  8. F

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    April 26, 2023 · Standard · F812 · Corrected May 19, 2023

Administration4F
  1. F

    Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

    July 1, 2024 · Standard · F944 · Corrected July 17, 2024

  2. F

    Provide training in compliance and ethics.

    July 1, 2024 · Standard · F946 · Corrected July 17, 2024

  3. D

    Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

    July 1, 2024 · Standard · F849 · Corrected July 17, 2024

  4. D

    Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

    April 26, 2023 · Standard · F849 · Corrected May 19, 2023

Environmental3F
  1. D

    Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space.

    September 19, 2024 · Complaint · F917 · Corrected October 17, 2024

  2. F

    Keep all essential equipment working safely.

    July 1, 2024 · Standard · F908 · Corrected July 17, 2024

  3. D

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    November 1, 2023 · Complaint · F921 · Corrected December 1, 2023

Nursing and Physician Services2E
  1. D

    Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

    March 7, 2024 · Complaint · F711 · Corrected April 5, 2024

  2. E

    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

    January 17, 2024 · Complaint · F947 · Corrected February 9, 2024

Inspection history

  1. 2025-09-17

    20 health deficiencies · 9 fire-safety deficiencies

    Top issue: Resident Rights (6 deficiencies)

  2. 2024-07-01

    49 health deficiencies · 12 fire-safety deficiencies

    Top issue: Freedom from Abuse and Neglect and Exploitation (10 deficiencies)

  3. 2023-04-26

    87 health deficiencies · 13 fire-safety deficiencies

    Top issue: Quality of Life and Care (28 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 3 h 55 min of nursing staff time a day, 45 min of it from a registered nurse.

This home

3 h 55 min

Wisconsin average

4 h 15 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 63% of nursing staff and 28% of registered nurses left in the past year, along with 3 administrators.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Fines and payment denials

$305,374 in federal fines on record over the past three years.

DatePenaltyAmount
2025-01-07Fine$79,372
2025-01-07Payment Denial · 1 day denial$0
2024-07-01Fine$167,635
2024-07-01Payment Denial · 117 day denial$0
2024-01-17Fine$17,101
2024-01-17Fine$41,266
2024-01-17Payment Denial · 49 day denial$0

6

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days0.6 pts worse2.21.61.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.4 pts worse2.62.21.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine2.6 pts better98.6%96.0%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine14.1 pts worse81.5%95.6%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury1.3 pts better2.0%3.3%3.2%
Percentage of long-stay residents who have depressive symptoms2.7 pts better3.3%6.0%13.5%
Percentage of long-stay residents who lose too much weight2 pts better2.9%4.9%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication0.8 pts better16.0%16.8%19.5%
Percentage of long-stay residents who received an antipsychotic medication11.8 pts worse27.7%15.9%15.4%
Percentage of long-stay residents who were physically restrained0.1 pts better0.0%0.1%0.1%
Percentage of long-stay residents whose ability to walk independently worsened5 pts better12.0%17.0%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased2.5 pts worse18.3%15.8%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better1.6%1.9%0.7%
Percentage of long-stay residents with a urinary tract infection1.1 pts better1.6%2.7%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence2.3 pts worse25.9%23.6%18.3%
Percentage of long-stay residents with pressure ulcers0.7 pts worse5.6%4.9%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine3.2 pts better90.1%86.9%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit1.8 pts worse17.4%15.6%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.6 pts better0.6%1.2%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine37.9 pts worse44.3%82.2%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission9.2 pts better13.3%22.5%23.4%

·

Who owns and runs it

4 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Jeidel, Jacob5% Or Greater Direct Ownership Interest · Individual60%4 facilities
Shkop, Benjamin5% Or Greater Direct Ownership Interest · Individual20%6 facilities
Jeidel, JacobCorporate Officer · Individual0%4 facilities
Klekamp, SteveW-2 Managing Employee · Individual0%2 facilities

·

Fire safety

34 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke16F
  1. E

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    September 17, 2025 · K321 · Corrected October 3, 2025

  2. E

    Inspect, test, and maintain automatic sprinkler systems.

    September 17, 2025 · K353 · Corrected October 2, 2025

  3. D

    Properly select, install, inspect, or maintain portable fire extinguishes.

    September 17, 2025 · K355 · Corrected October 3, 2025

  4. F

    Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

    July 1, 2024 · K354 · Corrected July 17, 2024

  5. E

    Properly provide smoke detection systems in areas open to corridors.

    July 1, 2024 · K347 · Corrected July 17, 2024

  6. E

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

    July 1, 2024 · K374 · Corrected July 17, 2024

  7. D

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    July 1, 2024 · K321 · Corrected July 17, 2024

  8. D

    Provide properly protected cooking facilities.

    July 1, 2024 · K324 · Corrected February 4, 2025

  9. D

    Inspect, test, and maintain automatic sprinkler systems.

    July 1, 2024 · K353 · Corrected July 17, 2024

  10. F

    Install a fire alarm system that can be heard throughout the facility.

    April 26, 2023 · K341 · Corrected June 14, 2023

  11. F

    Follow proper procedures when the fire alarm was out of service for more than 4 hours.

    April 26, 2023 · K346 · Corrected May 24, 2023

  12. E

    Have an enclosure around a vertical opening shaft.

    April 26, 2023 · K311 · Corrected May 24, 2023

  13. E

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

    April 26, 2023 · K374 · Corrected May 24, 2023

  14. D

    Provide properly protected cooking facilities.

    April 26, 2023 · K324 · Corrected May 24, 2023

  15. D

    Have approved installation, maintenance and testing program for fire alarm systems.

    April 26, 2023 · K345 · Corrected May 24, 2023

  16. D

    Inspect, test, and maintain automatic sprinkler systems.

    April 26, 2023 · K353 · Corrected May 24, 2023

Miscellaneous5F
  1. E

    Have restrictions on the use of highly flammable decorations.

    September 17, 2025 · K753 · Corrected October 10, 2025

  2. F

    Provide a written emergency evacuation plan.

    July 1, 2024 · K711 · Corrected July 17, 2024

  3. D

    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

    July 1, 2024 · K741 · Corrected July 17, 2024

  4. E

    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

    April 26, 2023 · K741 · Corrected May 24, 2023

  5. E

    Have restrictions on the use of portable space heaters.

    April 26, 2023 · K781 · Corrected May 24, 2023

Egress4E
  1. E

    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

    September 17, 2025 · K222 · Corrected October 3, 2025

  2. E

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

    July 1, 2024 · K211 · Corrected July 17, 2024

  3. E

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

    April 26, 2023 · K211 · Corrected May 24, 2023

  4. D

    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

    April 26, 2023 · K222 · Corrected May 24, 2023

Gas, Vacuum, and Electrical Systems4F
  1. D

    Ensure proper usage of power strips and extension cords.

    September 17, 2025 · K920 · Corrected October 10, 2025

  2. D

    Ensure proper usage of power strips and extension cords.

    July 1, 2024 · K920 · Corrected July 17, 2024

  3. F

    Have a battery powered remote alarm panel in a location accessible by operating personnel.

    April 26, 2023 · K916 · Corrected May 24, 2023

  4. E

    Ensure proper usage of power strips and extension cords.

    April 26, 2023 · K920 · Corrected May 24, 2023

Services3E
  1. E

    Have properly installed electrical wiring and gas equipment.

    September 17, 2025 · K511 · Corrected October 10, 2025

  2. D

    Install properly constructed and protected linen or trash chutes.

    September 17, 2025 · K541 · Corrected March 20, 2026

  3. E

    Have properly installed electrical wiring and gas equipment.

    July 1, 2024 · K511 · Corrected July 17, 2024

Emergency Preparedness2F
  1. F

    Conduct testing and exercise requirements.

    September 17, 2025 · E39 · Corrected October 15, 2025

  2. F

    Establish policies and procedures including evacuation.

    July 1, 2024 · E20 · Corrected July 17, 2024

·

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